AAPC - Back to school
Results 1 to 2 of 2

Thread: 99144 with 52 modifier?

  1. #1

    Default 99144 with 52 modifier?

    AAPC: Back to School
    In the Sept Pink Sheet, the new guidelines for time were discussed in relationship to 99144 and 99145. Just below that section, it addressed the use of 52 modifier with another time based procedure code (95972). So if my physician generally provides sedation for 5-10 minutes (less than the midway point for the 99144) could we still bill the 99144 using the 52 modifier (same concept, right?) or is there nothing he can charge for his sedation?

  2. #2
    Join Date
    Apr 2007
    St. Joseph County, Indiana


    The Pink Sheet was right about this change beginning January '11. Conscious Sedation of short duration is billed as 99144 with modifier 52. The good news is that even though the modifier is "reduced service" I have never seen reimbursement reduced.

    Brock Berta

Similar Threads

  1. Modifier for CPT 99144
    By brinktwins in forum Modifiers
    Replies: 1
    Last Post: 06-10-2014, 01:52 PM
  2. 99144-59
    By JREDLINE in forum Anesthesia
    Replies: 1
    Last Post: 09-26-2011, 11:42 PM
  3. 99144
    By golions1986 in forum Anesthesia
    Replies: 2
    Last Post: 09-01-2011, 09:51 PM
  4. Billing 99144
    By HBROCKMAN in forum Anesthesia
    Replies: 1
    Last Post: 04-26-2011, 08:00 PM
  5. 99144
    By krisfelty in forum Anesthesia
    Replies: 3
    Last Post: 10-03-2008, 09:09 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.